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First aid fundamentals (28th October 2010) 1 st part : education Department of anaesthesiology and inten. medicine, SNP 1 st. 2 nd part :education Department of Traumatology, Rastislavova 43 st.

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slide1

First aid fundamentals (28th October 2010)

1st part : education Department of anaesthesiology and inten. medicine, SNP 1 st.

2nd part :education Department of Traumatology, Rastislavova 43 st.

Seminary room KAIM 2nd floor, SNP st. 1, we ask students to wait for teacher on the 2nd floor in front of University Department of Anaesthesiology & Intensive Care

Substitute date is for students, who were not able to arrive for normal date.

3.12.2010 14.00h TEST: 10 MCQ First aid ( Basic life support adults, Pediatric basic life support, Shock, Wounds, Heat Stroke, Burns ,Emergency Rescue and Transfer – Removal from Automobile,…Literature: First Aid Manual, Latest Update, St John Ambulance Association, 2005, www.erc.com,

Moule P., Albarran J., 2009: Practical resuscitation for healthcare professionals

www. books.google.com

paediatric basic life support

KLINIKA ANESTÉZIOLÓGIE a INTENZÍVNEJ MEDICÍNY

UPJŠ LF a UNLP KOŠICE

Paediatric basic life support

Monika Grochová MD, PhD

Klinika anestéziológie a intenzívnej medicíny LF UPJŠ a UNLP Košice

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www.erc.eduwww.resus.org.uk
  • Resuscitation (2005, 2010) 67 Supplement
  • Resuscitation (2005, 2010) 67
basic life support
Basic life support

Airway – airways opening

Breathing – arteficial ventilation

Circulation – recovery of circulation

CBA adults

paediatric basic life support5
Paediatric basic life support
  • simplification based on the knowledge that many children receive no resuscitation at all because rescuers fear doing harm

Age:

- An infant is a child under 1 year of age

- a child is between 1 year and puberty

25 kg, 8. years

cpr in children
Adult CPR techniques can be used on children

Compressions 1/3 of the depth of the chest

CPR IN CHILDREN
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30

30

slide8

Campbell

BASIC LIFE SUPPORT (BLS)

Approach safely

Check response

Shout for help

Open airway

head tilt and chin lift,

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BASIC LIFE SUPPORT (BLS)

Approach safely

Check response

Shout for help

Open airway

Check breathing

  • Look, listen and feel for NORMAL breathing
breathing
Breathing

• Take a breath and cover the mouth and nasal apertures of the infant with your mouth, making

sure you have a good seal

• Blow steadily into the infant’s mouth and nose over 1—1.5 s, sufficient to make the chest visibly rise

• Take another breath and repeat this sequence

five times

breathing11
Breathing

No effective breathing:- the airway may be obstructed

• Open the child’s mouth and remove any visible obstruction.

• Ensure that there is adequate head tilt and chin lift,

try the jaw thrust method

• Make up to five attempts to achieve effective breaths; if still unsuccessful, move on to chest

compressions

breathing circulation
Breathing, circulation

• look for signs of a circulation

any movement, coughing

normal breathing=circulation is present

(not agonal gasps, which are infrequent, irregular breaths)

basic life support13
Basic life support
  • Chest compressions
    • To 1. year 2 fingers (2 thumbs circular)
    • Over 1. yer one hand/two hands
    • Low part of sternum
    • Thumb over processus xiphoideus
    • Compression by 1/3 of antero-posterior distance
    • AED
    • Children > 1 year
    • Smaller size of pads for children to 8 years
    • 50 – 75 J (4 J/kg)
chest compressions
Chest compressions
  • to depress the sternum by approximately one third of the depth of the chest
  • and repeat at a rate of about 100 min−1
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AED IN CHILDREN

  • Age > 8 years
    • use adult AED
  • Age 1-8 years
    • use paediatric pads / settings if available (otherwise use adult mode)
  • Age < 1 year
    • use only if manufacturer instructions indicate it is safe
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Approach safely

Approach safely

Check response

Check response

Shout for help

Shout for help

Open airway

Open airway

Check breathing

Check breathing

Call 112

Call 112

5 rescue breaths

Attach AED

30chest cmpressions

Follow voice prompts

postresuscitation care
Postresuscitation care
  • Aproppriate tissue perfusion
  • Cooling – if unconsiousness after CPR
    • 32 – 34°C of body core 12 – 24 hours
    • Warming 0,25 – 0,5°C / hour
    • AE- infection, koagulopathy, glykémia, ións, circulation
    • Avoid hyperthermia - antipyretics
etics and cpr
ETICS and CPR
  • Start – not start
  • Parents´presens during CPR
  • Decision to stp CPR- team leader, not parents
newborn resuscitation
Newborn resuscitation
  • Lungs distension- ambu- bag with face mask,in term newborn f: 30-60/min

if bradycardia persists - increase oxygen concentration

  • Mecónium – desuflation by weak newborns
  • Compressions- breathing ratio 3:190 compressionsií and 30 breaths
  • Adrenalín, if despite art. Vent.with O2 bradycardia <60/mindose 0,01-0,03 mg/kg i.v., into ETT 5-7 x more
  • Check HR every 30 sekúnd, STOP if HR > 60/min
  • Circulation support evective only by lungs distension
  • Temperature of body core maintenance
foreign body airway obstruction
Foreign body airway obstruction
  • Combination of methods needed
  • 5 hits back blows
  • 5 chest compressions (till 1year) / abdominal thrusts over 1 year
  • Horisontal rib´s position – abdominal organs damage risk